I am a member of a PSAC Regional/Component Human Rights or Equity Committee *

Yes

No

Please briefly explain why you wish to attend the conference by specifying your commitment to equity and women's issues *

I am interested in attending the Meet and Greet, Saturday June 8th from 5:00 p.m. to 7:00 p.m. *

Yes

No

Accommodation of Needs

The PSAC strives to ensure that conferences are barrier-free for all members. Some members may require that special measures be undertaken to facilitate their full participation (e.g. sign language interpretation, sound amplification, dietary needs, etc.). Please indicate any special needs and provide any explanation that will assist us in meeting them.

I am a member with a disability and require accommodation.

Yes

No

What are the functional limitations arising from your disability? *

You are not obliged to disclose your diagnosis, only your functional limitations

Any allergies we should be aware of?

Hearing needs

Visual needs

Family Care Allowance

Please note that we do not have on site child care

Optional Self Identification

Check all that apply

Racialized

Aboriginal

Woman

Gay, Lesbian, Bisexual or Transgendered

Person with a Disability

Youth (Under 35)

Please tell us if your plans change and you are no longer able to attend this conference by email at: educ-gat@psac-afpc.com